Location via proxy:   [ UP ]  
[Report a bug]   [Manage cookies]                
0% found this document useful (0 votes)
18 views2 pages

Mandate Form

Download as pdf or txt
Download as pdf or txt
Download as pdf or txt
You are on page 1/ 2

Mandate for Electronic Fund Transfer through ECS/RTGS

1 Name of the Organization BHASKAR SEWA SANSTHAN


2 Address of the Grantee Organization 268/24 C NEW BASTI SOHABATIYA BAG
PRAYAGRAJ
3 Telephone/ Mobile No. 8081847715
4 Particulars of Bank
A Bank Name ICICI BANK
B Branch Name & Address 19 A, TAGORE TOWN PRAYAGRAJ
Pincode:-211002
C City of the Bank Branch Prayagraj City
D MICR code number of branch (Nine digit 211229004
as appeared in cheque book)
E Type of Account SAVING
F Account Code(Saving/current/cash N/A
credit with code 10/11/13)
G BSR Code of the Bank ------
H Account Number (in digit) 066001002706
I Account Number (in words) ZERO,SIX,SIX,ZERO,ZERO,ONE,ZERO,ZERO,
TWO,SEVEN,ZERO,SIX.
J IFSC Code ICIC0000660
K Customer ID 588773976
L Whether this branch is RTGS Yes

I hereby declare that the particular given above are correct and complete. If the
translation is delay or not affected at all the reasons of incomplete incorrect
information, I would no hold the user institution responsible.
Date:

Banker certificate
We certified that the particulars furnished above are correct as per our records.
Signature of authorized official
of bank with employee code
Date:-

You might also like